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National Trauma Database (NTrD)--improving trauma care: first year report.
- Source :
-
The Medical journal of Malaysia [Med J Malaysia] 2008 Sep; Vol. 63 Suppl C, pp. 45-9. - Publication Year :
- 2008
-
Abstract
- The first Malaysian National Trauma Database was launched in May 2006 with five tertiary referral centres to determine the fundamental data on major trauma, subsequently to evaluate the major trauma management and to come up with guidelines for improved trauma care. A prospective study, using standardized and validated questionnaires, was carried out from May 2006 till April 2007 for all cases admitted and referred to the participating hospitals. During the one year period, 123,916 trauma patients were registered, of which 933 (0.75%) were classified as major trauma. Patients with blunt injury made up for 83.9% of cases and RTA accounted for 72.6% of injuries with 64.9% involving motorcyclist and pillion rider. 42.8% had severe head injury with an admission Glasgow Coma Scale (GCS) of 3-8 and the Revised Trauma Score (RTS) of 5-6 were recorded in 28.8% of patients. The distribution of Injury Severity Score (ISS) showed that 42.9% of cases were in the range of 16-24. Only 1.9% and 6.3% of the patients were reviewed by the Emergency Physician and Surgeon respectively. Patients with admission systolic blood pressure of less than 90 mmHg had a death rate of 54.6%. Patients with severe head injury (GCS < 9), 45.1% died while 79% patients with moderate head injury survived. There were more survivors within the higher RTS range compared to the lower RTS. Patients with direct admission accounted for 52.3% of survivors and there were 61.7% survivors for referred cases. In conclusion, NTrD first report has successfully demonstrated its significance in giving essential data on major trauma in Malaysia, however further expansion of the study may reflect more comprehensive trauma database in this country.
- Subjects :
- Brain Injuries mortality
Brain Injuries surgery
Brain Injuries therapy
Databases, Factual standards
Databases, Factual statistics & numerical data
Female
Glasgow Coma Scale
Humans
Intensive Care Units standards
Length of Stay statistics & numerical data
Malaysia epidemiology
Male
Population Surveillance
Registries standards
Surveys and Questionnaires
Trauma Centers standards
Trauma Severity Indices
Brain Injuries epidemiology
Intensive Care Units statistics & numerical data
Registries statistics & numerical data
Trauma Centers statistics & numerical data
Wounds and Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0300-5283
- Volume :
- 63 Suppl C
- Database :
- MEDLINE
- Journal :
- The Medical journal of Malaysia
- Publication Type :
- Academic Journal
- Accession number :
- 19227673